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Healthcare Analytics Company | Verscend

We are transforming the business of healthcare by providing data services, analytics, and advanced technologies that answer complex challenges.

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Healthcare Analytics Company | Verscend | verscend.com Reviews
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We are transforming the business of healthcare by providing data services, analytics, and advanced technologies that answer complex challenges.
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Healthcare Analytics Company | Verscend | verscend.com Reviews

https://verscend.com

We are transforming the business of healthcare by providing data services, analytics, and advanced technologies that answer complex challenges.

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Knowledge Bank

Get smarter with our knowledge bank. Boosting commercial risk adjustment performance with supplemental data. View the fact sheet. Examining the 2018 HHS payment notice and the future of the exchanges. But wait.there's more: risk adjustment and predictive modeling advances. Planting the seeds for measurable quality improvement across CareOregon’s population. View the case study. View the fact sheet. Mind the gap: keep your quality improvement program on track. View the white paper. View the fact sheet.

blog.verscend.com blog.verscend.com

Healthcare Analytics Company Blog

Discover more with our blog. Read Verscend’s latest articles, news highlights and perspectives on the business of healthcare. Lets stay in touch. Subscribe to our blog:. The true costs of medical identity theft. Posted by Edie Hamilton, CPC. On 1/11/17 11:07 AM. That is the average cost victims pay to resolve medical identity theft when they can resolve it. Fifth Annual Study on Medical Identity Theft. How to support successful MRA through medical record retrieval. Posted by Howard Gross. Our final healt...

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Healthcare Quality Intelligence

https://www.verscend.com/solutions/quality-improvement/quality-intelligence

2017 Best in KLAS. Award for payer quality. Analytics and reporting solutions. Quality Intelligence is our software for measuring, reporting, and improving HEDIS compliance. Using Quality Intelligence, health plans can determine what drives changes in HEDIS and other quality metrics with the greatest transparency and flexibility. Drill down to member-level claim detail for optimal insight and analysis. Take advantage of intuitive medical record review templates for data entry. Create and customize report...

2

Medicare Risk Adjustment

https://www.verscend.com/solutions/revenue-integrity/medicare-risk-adjustment

Oversee, optimize and enhance. While understanding the complete risk-adjusted profile of your member population can impact significant variations in revenue, it also requires more detail than claims data alone can provide. Verscend’s Medicare Risk Adjustment solution offers users an integrated set of tools to perform all stages of a Medicare risk adjustment program, from suspect targeting and data validation to encounter data submission and. Verscend's nationwide network of nurse practitioners performs i...

3

Healthcare Analytics Solutions for Provider Markets

https://www.verscend.com/markets/providers

Understand and manage clinical and financial risk. Provider organizations are moving steadily into value-based healthcare delivery and payment programs. However, successful risk management is as challenging as it is essential. The stakes are high. Verscend can help. Provider Intelligence puts the DxCG Intelligence risk adjustment and predictive models to work within a solution that also:. Supports areas such as quality improvement, performance management, and out-of-network healthcare usage. Turning Frau...

4

Record Retrieval

https://www.verscend.com/solutions/quality-improvement/record-retrieval

Maximize internal budgets and minimize provider disruption. Track the progress of each record request with detailed notes from our retrieval agents. Central record repository for immediate access by any authorized requestor. Chart review for retrospective, prospective, audits, RADV, HEDIS. Special projects and physician education. Comprehensive workflow tools for large scale project management. Increase record retrieval rates. Reduce provider disruption resulting from multiple record requests.

5

Record Abstraction

https://www.verscend.com/solutions/quality-improvement/record-abstraction

Ensure thorough documentation of compliant care to improve quality scores. For health plans and other healthcare organizations, the quality measurement and reporting process grows more complex and important every year. Measuring and reporting quickly, efficiently, accurately, and thoroughly are essential. Verscend’s Medical Record Abstraction services deliver rapid, accurate abstraction of clinical data components that document the provision of compliant care for HEDIS. Accuracy: Focus, rigorous training...

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Fraud Detection

http://resources.verscend.com/product-info/fraud-detection

Those who seek to commit healthcare fraud and abuse are continually adapting, and at the same time, the increasingly complex healthcare landscape presents fresh opportunities for new or continuing areas of wasteful and erroneous billing. Payers are challenged to stay on top of it all. Our latest fact sheet explores how Fraud Detection improves prevention and recoveries with:. Multi-layered detection analytics that inform and evolve. Clinical investigative review for actionable referrals.

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Healthcare Analytics Company Blog | Edie Hamilton, CPC

http://blog.verscend.com/author/edie-hamilton-cpc

Discover more with our blog. Read Verscend’s latest articles, news highlights and perspectives on the business of healthcare. Lets stay in touch. Subscribe to our blog:. The true costs of medical identity theft. Posted by Edie Hamilton, CPC. On 1/11/17 11:07 AM. That is the average cost victims pay to resolve medical identity theft when they can resolve it. Fifth Annual Study on Medical Identity Theft. Fraud, Waste and Abuse (13). Commercial Risk Adjustment (6). Fraud, waste, and abuse prevention (1).

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healthcare news: week of December 5

http://blog.verscend.com/healthcare-news-week-of-december-5

Healthcare news: week of December 5. On 12/9/16 10:14 AM. This week’s healthcare news takes a look at how hospitals are anxious about major cuts that could take place if the Affordable Care Act (ACA) is repealed, the 20. Anniversary of DxCG Intelligence, how inaccurate provider directories hurt consumers, and a healthcare fraud settlement over excessive billing. Hospitals warn of massive cuts. If ACA is repealed:. Verscend is celebrating the 20. Inaccurate provider directories hit patients:.

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CareOregon: how to achieve measurable quality improvement

http://blog.verscend.com/careoregon-how-to-achieve-measurable-quality-improvement

CareOregon: how to achieve measurable quality improvement. On 11/30/16 1:35 PM. Health plans across the country expend significant energy on annual HEDIS. Quality reporting requirements. With quality metrics increasingly tied to financial success, the importance of both a successful submission process and continued performance improvement has only grown. CareOregon’s earliest quality efforts took a seasonal approach to measurement and reporting, like many health plans do today. This included an annua...

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healthcare news: week of December 12

http://blog.verscend.com/healthcare-news-week-of-december-12

Healthcare news: week of December 12. On 12/16/16 8:03 AM. This week’s healthcare news looks at how Americans with pre-existing conditions could be impacted if the Affordable Care Act (ACA) is repealed, the number of people who have gained coverage under the ACA, patient dissatisfaction with healthcare data practices, and the passage of a major medical research law. ACA repeal may impact patients with pre-existing conditions. Report details impact of ACA on uninsured rate. Lets stay in touch.

blog.verscend.com blog.verscend.com

Healthcare Analytics Company Blog | Verscend

http://blog.verscend.com/author/verscend

Discover more with our blog. Read Verscend’s latest articles, news highlights and perspectives on the business of healthcare. Lets stay in touch. Subscribe to our blog:. Watch: how big data and automation are disrupting healthcare. On 3/10/17 7:32 AM. How is the shift to value-based care creating a perfect storm for payers and providers to leverage big data as technology and automation evolve? And at the same time, how are these advances empowering healthcare consumers? On 1/18/17 9:50 AM. Our final heal...

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Healthcare Analytics Company Blog

http://blog.verscend.com/all

Discover more with our blog. Read Verscend’s latest articles, news highlights and perspectives on the business of healthcare. Lets stay in touch. Subscribe to our blog:. Busting myths about clinical claim review. Watch: how big data and automation are disrupting healthcare. The art and science of handling Medicare risk adjustment coding gray areas. Sharpening your view: using predictive modeling to identify potentially avoidable ED utilization. From the HEDIS 2017 trenches: optimizing your chases. Health...

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Healthcare Analytics Company Blog | Payer

http://blog.verscend.com/topic/payer

Discover more with our blog. Read Verscend’s latest articles, news highlights and perspectives on the business of healthcare. Lets stay in touch. Subscribe to our blog:. Busting myths about clinical claim review. Posted by Debi Behunin. On 3/16/17 10:53 AM. Watch: how big data and automation are disrupting healthcare. On 3/10/17 7:32 AM. How is the shift to value-based care creating a perfect storm for payers and providers to leverage big data as technology and automation evolve? Posted by Deb Bradley.

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Healthcare Analytics Company Blog | Fraud, Waste and Abuse

http://blog.verscend.com/topic/fraud-waste-and-abuse

Discover more with our blog. Read Verscend’s latest articles, news highlights and perspectives on the business of healthcare. Lets stay in touch. Subscribe to our blog:. How far can automated claim editing go? Three fast facts you should know. Posted by Debi Behunin. On 2/8/17 12:00 PM. Book, as well as payer-sourced custom rules, these systems save plans a significant amount of money by keeping them from paying incorrect claims without human intervention. The true costs of medical identity theft. Fifth ...

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best practices to ensure end-to-end payment accuracy in your organization

http://blog.verscend.com/best-practices-to-ensure-end-to-end-payment-accuracy-in-your-organization

Best practices to ensure end-to-end payment accuracy in your organization. On 12/7/16 11:49 AM. As many healthcare organizations know, the frequently changing and extremely complex healthcare landscape has unintentionally created new opportunities to take advantage of the system. As a result, insurers need to work more aggressively than ever before to ensure complete payment accuracy. Our payment accuracy checklist, available in Verscend’s knowledge bank. Dig deeper into more clinically complex claims.

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We are now verscend. Verisk Health has rebranded to Verscend Technologies. The name Verscend is an important milestone on our path to be an independent organization and a tribute to our future as a stand-alone entity, said Dr. Emad Rizk, Verscend’s CEO. The name Verscend implies growth, ascension, momentum and symbolizes the company’s commitment to optimize healthcare and create better outcomes. Read the press release. Building better healthcare together. Discover more with our blog. Week of December 26.

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